<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
<title>APS User Registration</title>
</head>

<h1>User Registration</h1>

<body style="margin:80px 150px 0px;padding:0px 0px 0px 0px;">
<form id="Form" >
        <div id="header" style="width:320px;text-align:center;"> </div>
        <div style="height:20;text-align:center;"></div>
 
        <table id="login" style="position:absolute;top:50;width:320px;z-index:900;border:3px solid #555555;background-color:#777777;">
             <tr>
                 <td>Surname:</td>
                 <td><input id="text" name="surname" value="" /></td>
             </tr>
             <tr>
                 <td>First Name:</td>
                 <td><input id="text" name="firstname" value=" "/></td>
             </tr>
             <tr>
                 <td>Email Address:</td>
                 <td><input id="text" name="email" value=" "/></td>
             </tr>
             <tr>
                 <td>ID/Passport Number:</td>
                 <td><input id="text" name="passport" value=" "/></td>
             </tr>
             <tr>
                 <td>Telephone No.:</td>
                 <td><input id="text" name="telephone" value=" "/></td>
             </tr>
             <tr>
                 <td>Date of birth:</td>
                 <td><input id="text" name="dob" value=" "/></td>
             </tr>
             
             <tr>
                 <td>User Name:</td>
                 <td><input id="text" name="username" value=" "/></td>
             </tr>
             <tr>
                 <td>Password:</td>
                 <td><input id="text" name="password" value=" "/></td>
             </tr>
             <tr>
                 <td>Confirm password:</td>
                 <td><input id="text" name="confirm pswd" value=" "/></td>
             </tr>
             
             <tr>
                  <td></td>
                  <td><input class="Button" type="button" id="Button1" value="Login" onclick="";>
                      <input class="Button" type="button" id="Button2" value="Register" onclick="";>
                  </td>
             </tr>
        </table>
</form>
</body>
</html>